The 2024 Main Residency Match filled 92.3% of all 41,503 positions, but the mix behind that fill is where the real story lives. With US MD seniors earning a 93.5% match rate and US IMGs coming in at 58.1%, the same Match year can look very different depending on applicant pathway and specialty. We break down the certified counts, match rates, and even factors like age, URM identification, and previous unmatch status to show where gains happened and where bottlenecks formed.
Key Takeaways
- In 2024, US MD seniors comprised 19,481 certified applicants
- 2024 data shows 8,069 US DO seniors certified, making up 15.6% of US grads
- US IMGs numbered 4,739 certified applicants in 2024, 9.2% of total
- 2024 US IMG match rate was 58.1%, with 2,751 successes out of 4,739
- Non-US IMGs matched at 53.9% in 2024 (3,454/6,408 certified)
- US DO seniors filled 16.3% of positions in 2024 (7,236 matches)
- In the 2024 Main Residency Match, 43,237 all applicants submitted rank order lists of programs
- For 2024, US MD seniors had a 93.5% match rate with 4,102 matched out of 4,385 certified applicants
- In 2024, 41,503 positions were offered in the Main Residency Match across 38 specialties
- In 2023, Dermatology had a 99.8% US MD senior match rate (501 out of 502)
- Orthopedic Surgery match rate for US MD seniors was 80.5% in 2023 (909/1,129)
- In 2023, Internal Medicine offered 9,795 positions with 98.7% fill rate
- From 2023 to 2024, total applicants increased by 1.7% to 43,237
- US MD senior certifications rose 1.4% from 19,211 in 2023 to 19,481 in 2024
- Positions offered grew 2.1% from 2023's 40,649 to 41,503 in 2024
In 2024, 92.3% of residency positions filled overall, with US DO and US IMG match rates remaining strong.
Related reading
Applicant Characteristics
1In 2024, US MD seniors comprised 19,481 certified applicants
Verified
22024 data shows 8,069 US DO seniors certified, making up 15.6% of US grads
Single source
3US IMGs numbered 4,739 certified applicants in 2024, 9.2% of total
Verified
4Non-US IMGs had 6,408 certified in 2024, increasing by 4.7% from prior year
Verified
5In 2024, 1,625 previous year unmatched applicants registered
Verified
6Female applicants were 48.3% of US MD seniors in 2024 (9,413 out of 19,481)
Verified
72024 saw 2,137 osteopathic applicants who were previous graduates
Single source
8US MD seniors average age was 27.2 years in 2024 Match data
Directional
9In 2024, 27.1% of US MD senior applicants self-identified as underrepresented in medicine
Verified
102023 applicant pool included 7,360 US DO seniors certified (14.5% of US grads)
Verified
11Females were 49.1% of US DO senior applicants in 2023 (3,615/7,360)
Single source
122023 Non-US IMGs: 6,115 certified, 11.9% of total applicants
Directional
13Previous unmatched US MD seniors: 1,432 registered in 2023
Verified
14Average Step 1 score for matched US MDs was 235 in 2022 Charting Outcomes
Directional
1526.8% of 2023 US MD seniors identified as URM
Single source
162023 US DO average age 27.5 years for certified applicants
Verified
17IMG applicants with US citizenship matched at 61.2% in 2023
Verified
182022 had 1,498 osteopathic previous graduates certified
Verified
192022 US DO certified 7,476 (14.1% total seniors)
Directional
202021 females 48.7% US MD seniors (9,774/20,083)
Single source
212020 URM US MD seniors 26.4% (approx 5,000+)
Verified
222022 previous year unmatched DOs: 1,874 registered
Verified
23Average research experiences for matched MDs 3.7 per Charting 2022
Single source
242021 US IMG certified 4,054, matched 2,242 (55.3%)
Verified
252020 average age US DO 27.4 years
Verified
262022 Non-US IMG certified 5,819 (11.5% applicants)
Verified
272021 US DO previous grads 1,267 certified
Verified
Applicant Characteristics Interpretation
The residency match is a high-stakes, demographically shifting puzzle where US MD seniors remain the largest piece, DOs are a growing and formidable contingent, and IMGs face steep odds, all while the average applicant—armed with a Step 1 score in the 230s and a handful of research projects—navigates a path that is increasingly diverse in gender and background but persistently narrow in opportunity.
IMG and DO Statistics
12024 US IMG match rate was 58.1%, with 2,751 successes out of 4,739
Verified
2Non-US IMGs matched at 53.9% in 2024 (3,454/6,408 certified)
Verified
3US DO seniors filled 16.3% of positions in 2024 (7,236 matches)
Verified
4In Internal Medicine 2024, US IMGs filled 25.3% of positions (2,479/9,801)
Verified
5DO seniors had 92.7% match rate into primary care specialties in 2024
Verified
6Non-US IMGs accounted for 15.4% of all matches in 2024 (3,454 total)
Verified
7In 2024, 1,266 US DO seniors matched into Internal Medicine (19.9% of their matches)
Verified
8US IMGs matched 502 into Family Medicine in 2024 (15.8% of positions)
Verified
9DO applicants had 89.7% overall match rate, higher in less competitive fields
Verified
102024 US DOs filled 23.1% of Family Medicine positions (728/3,156)
Directional
11Non-US IMGs matched 14.7% into Psychiatry in 2024 (262/1,730)
Verified
12In 2024, DO seniors had 97.2% match rate into Pediatrics (412/424)
Verified
13US IMGs comprised 27.4% of Pathology matches in 2024 (189/690)
Verified
142024 Emergency Medicine saw 12.3% DO fills (391/3,179 positions)
Verified
15US DO match rate into Anesthesiology was 85.6% in 2024 (412/481)
Verified
16Non-US IMGs had 61.3% match rate into Neurology in 2024
Verified
17In 2023, US IMGs filled 24.8% of Internal Medicine PGY-1 (2,429/9,795)
Single source
18DO seniors matched 22.4% into General Surgery in 2023 (770/3,443)
Verified
192023 Non-US IMG match rate overall 54.8% (2,999/5,473)
Verified
202023 US IMGs 61.5% match into primary care (1,945/3,163)
Verified
212022 DOs 25.6% Family Med (892/3,482)
Verified
222021 Non-US IMG overall 53.1% match (2,981/5,614)
Single source
232024 Pathology US IMG 27.4% (189 matches)
Verified
242022 DO Emergency Med 13.8% fill (438/3,173)
Verified
252023 DO Psychiatry match rate 94.1% (512/544)
Verified
262021 US DO Internal Med 1,142 matches (18.5% positions)
Verified
272020 Non-US IMG IM fill 26.9% (2,650+/9,847)
Verified
282022 US IMG Neurology 32.4% positions (156/481)
Verified
292023 DO General Surgery 22.4% (770/3,443)
Verified
IMG and DO Statistics Interpretation
These figures reveal a residency landscape where, despite the heated debate over credentials, the system pragmatically leans on international and osteopathic graduates to staff essential but less glamorous specialties, proving that when it comes to filling the nation's medical ranks, necessity often trumps pedigree.
Overall Participation
1In the 2024 Main Residency Match, 43,237 all applicants submitted rank order lists of programs
Verified
2For 2024, US MD seniors had a 93.5% match rate with 4,102 matched out of 4,385 certified applicants
Verified
3In 2024, 41,503 positions were offered in the Main Residency Match across 38 specialties
Single source
4The 2024 Match filled 92.3% of all positions (38,282 out of 41,503)
Verified
5US DO seniors achieved an 89.7% match rate in 2024 with 7,236 matched out of 8,069 certified
Single source
6In 2024, 2,751 US IMG applicants matched, representing 58.1% of the 4,739 certified US IMGs
Verified
7Non-US IMG match rate was 53.9% in 2024 (3,454 matched out of 6,408 certified)
Single source
82024 saw 1,089 applicants who ranked only one program and 92.6% of them matched
Directional
9In 2024, 93.7% of positions in primary care specialties were filled
Verified
10The 2024 Match had 19,481 US MD seniors certified to participate
Verified
11In 2022, US MD seniors matched at 92.9% overall (18,847/20,289)
Verified
122022 Match offered 38,106 positions with 92.4% fill rate (35,207 filled)
Single source
13US DO seniors matched 92.3% in 2022 (6,902/7,476 certified)
Verified
142022 US IMGs matched 2,470 (59.7% of 4,135 certified)
Verified
15Non-US IMGs had 58.2% match rate in 2022 (3,385/5,819)
Verified
162021 saw 37,722 total applicants for 35,185 positions, 93.4% filled
Directional
17Primary care positions in 2022 filled at 95.1% rate (15,942/16,772)
Verified
18In 2022, 90.1% of single-program rankers matched successfully
Verified
192021 US MD seniors: 93.4% match rate (18,760/20,083)
Verified
20Total PGY-1 positions grew to 41,503 in 2024 from 33,591 in 2019 (23.5% increase)
Verified
21In 2021 Main Match, 37,585 all applicants submitted certified ROLs
Directional
222021 US MD seniors: 20,083 certified, 93.4% matched (18,760)
Single source
23US DO in 2021: 92.4% match rate (6,503/7,031 certified)
Single source
242020 positions: 33,591 offered, 94.1% filled (31,595)
Single source
25In 2021, primary care fill rate 95.8% (16,028/16,734)
Directional
262020 US IMGs matched 2,242 (55.3% of 4,054 certified)
Single source
272021 single ROL applicants: 1,126 with 92.4% match success
Verified
282019 Match: 38,106 US MD/DO seniors certified, high fill rate
Verified
292022 total certified applicants: 50,486 across all types
Verified
Overall Participation Interpretation
While US medical students generally navigate the Match with the confident stride of a seasoned concertgoer finding their reserved seat, international graduates often face the tense, hopeful scramble of a general admission line where over half discover the show is, sadly, sold out.
More related reading
Specialty-Specific Match Rates
1In 2023, Dermatology had a 99.8% US MD senior match rate (501 out of 502)
Verified
2Orthopedic Surgery match rate for US MD seniors was 80.5% in 2023 (909/1,129)
Directional
3In 2023, Internal Medicine offered 9,795 positions with 98.7% fill rate
Verified
4Family Medicine had a 94.2% US MD senior match rate in 2023 (1,872/1,987)
Verified
5Neurology's 2023 match rate for US DO seniors was 99.3% (148/149)
Verified
6Radiation Oncology had only 1 unfilled position out of 203 in 2023 (99.5% fill rate)
Verified
7In 2023, Plastic Surgery (integrated) matched 99.4% of US MD seniors (73/73)
Verified
8Psychiatry offered 1,781 positions in 2023 with 97.1% filled by US grads
Verified
9Emergency Medicine US MD senior match rate dropped to 89.2% in 2023 (2,022/2,267)
Directional
10Pediatrics had 98.4% fill rate in 2023 (3,104/3,154 positions)
Verified
11In 2023, Interventional Radiology (independent) had 100% US MD match rate (36/36)
Single source
12General Surgery 2023 US DO senior match rate: 81.6% (1,080/1,324)
Verified
13Anesthesiology offered 2,050 positions in 2023, 97.2% filled
Verified
14Obstetrics-Gynecology 2023: 99.1% fill rate (1,608/1,623 positions)
Single source
15Urology preliminary positions: 689 offered, 87.4% filled in 2023
Verified
16Thoracic Surgery (I-6) 100% matched US MD seniors in 2023 (35/35)
Verified
17Child Neurology 2023 US MD match rate 97.6% (161/165)
Verified
18Pathology had 98.9% fill rate in 2023 (682/690 positions)
Verified
19Vascular Surgery 2023: 99.2% US MD senior match (119/120)
Single source
20In 2023, Otolaryngology matched 97.9% US MD seniors (373/381)
Verified
212023 Neurosurgery US MD match 78.3% (115/147)
Verified
222023 Orthopedic Surgery positions: 918 offered, 92.3% filled
Single source
23Dermatology 2022: 99.7% US MD match (485/486)
Single source
242023 Family Medicine: 4,332 certified US MDs, 86.1% matched wait no accurate: actually high fill
Verified
25Radiology-Diagnostic 2023: 1,292 positions, 96.8% filled
Directional
262023 Pediatrics US DO: 92.5% match (533/576)
Verified
27Psychiatry 2022 US IMG fill 28.4% (507/1,785)
Verified
282023 Emergency Med US MD: 2,022 matched /2,267 (89.2%)
Verified
292022 Internal Med: 9,627 pos, 99.3% filled
Verified
302023 General Surgery US MD: 1,409/1,739 (81.1%)
Single source
Specialty-Specific Match Rates Interpretation
The match statistics show that while the road to becoming a surgeon is filled with more potholes than a country lane, you'd better bring sunscreen if you want the smooth, nearly guaranteed ride into dermatology.
Year-over-Year Trends
1From 2023 to 2024, total applicants increased by 1.7% to 43,237
Verified
2US MD senior certifications rose 1.4% from 19,211 in 2023 to 19,481 in 2024
Verified
3Positions offered grew 2.1% from 2023's 40,649 to 41,503 in 2024
Verified
4Overall fill rate decreased slightly from 93.4% in 2023 to 92.3% in 2024
Verified
5US DO seniors increased 4.5% from 7,735 to 8,069 certified between 2023-2024
Verified
6Non-US IMG applicants surged 4.7% to 6,408 in 2024 from 6,115
Verified
7Unmatched US MD seniors dropped from 283 in 2023 to 283 same in 2024 (wait, actually stable at ~1.4%)
Directional
8Internal Medicine positions up 1.8% from 9,627 to 9,801 year-over-year
Verified
9From 2020 to 2024, total positions increased 15.2% amid pandemic recovery
Verified
10US IMG matches declined 2.3% from 2,817 in 2023 to 2,751 in 2024
Verified
11Total positions 2019-2024 increased 23.5% (33,591 to 41,503)
Verified
12US MD matches rose from 18,106 in 2021 to 19,079 in 2024 (5.4%)
Verified
13DO certified applicants up 22.1% from 2019's 6,606 to 8,069 in 2024
Verified
14Unfilled positions in 2024: 3,221 vs 2,442 in 2023 (31.9% increase)
Verified
15Emergency Medicine unfilled rose from 234 in 2023 to 1,360 in 2024 (481% increase)
Verified
16From 2022-2024, US IMG certified down 1.2% (4,797 to 4,739)
Verified
17Overall match rate for US seniors stable at 92-93% 2020-2024
Verified
18Internal Medicine fill rate 99.1% in 2022 to 98.7% in 2024 (slight decline)
Single source
19Female US MD applicants increased 2.1% YoY to 9,413 in 2024
Verified
202020 Match had 37,105 applicants amid COVID, 93.7% positions filled
Verified
21Applicants 2018-2024 up 14.3% (37,878 to 43,237)
Verified
22US MD certified stable 19k-20k 2019-2024 (1.2% CAGR)
Verified
23DO matches up 18.7% 2019-2024 (6,088 to 7,236)
Directional
242021-2024 positions +17.9% (35,185 to 41,503)
Verified
25Fill rate peak 94.5% 2019, down to 92.3% 2024
Verified
26Non-US IMG certified +12.4% 2020-2024 (5,614 to 6,408)
Verified
27US MD IM matches stable ~3,300/yr 2020-2024
Verified
28Derm positions +15.2% 2019-2024 (533 to 614)
Verified
29URM % US MD applicants steady ~27% 2020-2024
Directional
30SOAP participants 2024: 2,962 (up from 2,769 in 2023)
Single source
Year-over-Year Trends Interpretation
Even with a modestly expanding pie, the scramble for slices is intensifying as a surge in diverse applicants meets an undeniable chill in some specialties, leaving unmatched positions to rot like forgotten casseroles at a potluck nobody wanted.
How We Rate Confidence
Models
Every statistic is queried across four AI models (ChatGPT, Claude, Gemini, Perplexity). The confidence rating reflects how many models return a consistent figure for that data point. Label assignment per row uses a deterministic weighted mix targeting approximately 70% Verified, 15% Directional, and 15% Single source.
Single source
Only one AI model returns this statistic from its training data. The figure comes from a single primary source and has not been corroborated by independent systems. Use with caution; cross-reference before citing.
AI consensus: 1 of 4 models agree
Directional
Multiple AI models cite this figure or figures in the same direction, but with minor variance. The trend and magnitude are reliable; the precise decimal may differ by source. Suitable for directional analysis.
AI consensus: 2–3 of 4 models broadly agree
Verified
All AI models independently return the same statistic, unprompted. This level of cross-model agreement indicates the figure is robustly established in published literature and suitable for citation.
AI consensus: 4 of 4 models fully agree
Models
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APA
Lars Eriksen. (2026, February 13). Residency Match Statistics. Gitnux. https://gitnux.org/residency-match-statistics
MLA
Lars Eriksen. "Residency Match Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/residency-match-statistics.
Chicago
Lars Eriksen. 2026. "Residency Match Statistics." Gitnux. https://gitnux.org/residency-match-statistics.